MANAGEMENT ACUTE HIP FRACTURE: NARRATIVE REVIEW

The surgical management of acute hip fractures is a critical juncture, demanding surgical expertise and careful decision-making. Three key factors inuence the decision-making process: a comprehensive patient health assessment to determine surgical feasibility, an evaluation of procedure urgency based on patient stability and potential consequences of delay, and the choice of surgical intervention guided by factors such as fracture location, displacement degree, and patient physiology. Early surgery is preferred to minimize complications and enhance patient outcomes, typically within the rst 48 hours of admission. For femoral neck fractures, arthroplasty is favored for displaced fractures in elderly patients, while intertrochanteric and subtrochanteric fractures require surgical intervention and postoperative rehabilitation for optimal recovery. Perioperative care encompasses a comprehensive and personalized approach from assessment to rehabilitation.